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National Bioterrorism Syndromic Surveillance Demonstration Program.

W Katherine Yih1, B Caldwell, R Harmon

  • 1Department of Ambulatory Care and Prevention, Harvard Medical School/Harvard Pilgrim Health Care, 133 Brookline Ave., 6th Floor, Boston, MA 02215, USA. katherine_yih@harvardpilgrim.org

MMWR Supplements
|February 18, 2005
PubMed
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The National Bioterrorism Syndromic Surveillance Demonstration Program uses electronic health records to detect disease outbreaks early. This system enables rapid public health response to localized public health threats.

Area of Science:

  • Public Health Surveillance
  • Epidemiology
  • Health Informatics

Background:

  • Traditional public health surveillance methods may have limitations in timely detection of localized outbreaks.
  • The increasing use of electronic health records presents an opportunity for enhanced syndromic surveillance.

Purpose of the Study:

  • To describe the National Bioterrorism Syndromic Surveillance Demonstration Program.
  • To evaluate its capability in identifying and responding to public health threats using electronic ambulatory patient records.

Main Methods:

  • Nightly extraction of patient encounter data from health plans and practice groups.
  • Statistical analysis using a model-adjusted SaTScan approach to detect unusual syndrome clustering by zip code.
  • Automated electronic alerts to public health departments for statistically significant clusters.

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Main Results:

  • The system successfully processes daily patient encounter data for syndromic surveillance.
  • It facilitates the detection of localized illness clusters through statistical analysis.
  • Electronic alerts can be triggered for public health follow-up, with patient-level data remaining with healthcare organizations unless needed.

Conclusions:

  • The National Bioterrorism Syndromic Surveillance Demonstration Program is a flexible and accepted system for early detection of public health threats.
  • It enhances public health response capabilities by providing timely, localized outbreak information.
  • The system's design ensures data privacy while enabling effective surveillance and response.